ELGIN NURSING AND REHABILITATION CENTER

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General
City	ELGIN	vs	0.1% Nursing Homes USA have ELGIN
State attribute explanation	TX	vs	7.6% Nursing Homes USA have TX	compare TX Nursing Homes USA
Street	1373 NORTH AVENUE C
Zip Code	78621
Phone	5122852457
Overall Star Rating	1 (2.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (1)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	1 (2.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (1)
Quality Measures Star Rating	3 (0.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (3)
RN Only Star Rating	1 (2.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (1)
Number of Certified Beds	120 (11.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (120)
Total Number of Residents	96 (4.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (96)
Percent of Occupied Beds	80 % (3.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (80) %
Health Survey Date	4/29/2011
Fire Survey Date	4/27/2011
Sprinkler Status	Fully Sprinklered	vs	90.2% Nursing Homes USA have Fully Sprinklered
Program Participation	Medicare And Medicaid	vs	91.5% Nursing Homes USA have Medicare and Medicaid	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Partnership	vs	7.9% Nursing Homes USA have For profit - Partnership	compare For profit - Partnership Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar don't have Located Within a Hospital?
Multi Nursing Home Ownership?	No	vs	45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils	RESIDENT	vs	66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community?	No	vs	90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey?	No	vs	68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility?	No	vs	99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count	1 (57.16 lower than average)	vs	58.16
Total Enforcement Actions Count	1 (55.31 lower than average)	vs	56.31
# of deficiencies	17 (9.52 higher than average)	vs	7.48

Staff Information
Number of Residents	96 (4.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.43 (0.34 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.71 (0.13 lower than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.13 (0.46 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.01 (5.48 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.01 (0.09 lower than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Few level Of Harm: 4 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 09/19/2011 date Of Correction: 09/29/2011
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public. survey Date: 02/12/2010 date Of Correction: 03/16/2010
Deficiency #3		Scope: Some level Of Harm: 2 deficiency: Provide At Least One Room Set Aside To Use As A Resident Dining Room And For Activities, That Is A Good Size, With Good Lighting, Air Flow And Furniture. survey Date: 02/12/2010 date Of Correction: 03/16/2010
Deficiency #4		Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 02/12/2010 date Of Correction: 03/16/2010
Deficiency #5		Scope: Some level Of Harm: 2 deficiency: Maintain Comfortable Sound Levels. survey Date: 02/12/2010 date Of Correction: 03/16/2010
Deficiency #6		Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 02/12/2010 date Of Correction: 03/16/2010

Resident Rights Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 02/12/2010 date Of Correction: 03/16/2010
Deficiency #2		Scope: Many level Of Harm: 1 deficiency: Provide Access To A Telephone For Resident To Use In Private. survey Date: 02/12/2010 date Of Correction: 03/16/2010
Deficiency #3		Scope: Many level Of Harm: 1 deficiency: Send And Promptly Deliver Unopened Mail To Residents. survey Date: 02/12/2010 date Of Correction: 03/16/2010

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 02/12/2010 date Of Correction: 03/16/2010
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 04/24/2009 date Of Correction: 05/22/2009

Resident Assessment Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 02/12/2010 date Of Correction: 03/16/2010

Administration Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs. survey Date: 02/12/2010 date Of Correction: 03/16/2010
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews. survey Date: 02/12/2010 date Of Correction: 03/16/2010
Deficiency #3		Scope: Many level Of Harm: 1 deficiency: Post Nurse Staffing Information/data On A Daily Basis. survey Date: 02/12/2010 date Of Correction: 03/16/2010

Nutrition and Dietary Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Provide Food In A Way That Meets A Resident's Needs. survey Date: 04/29/2011 date Of Correction: 05/29/2011
Deficiency #2		Scope: Some level Of Harm: 4 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 02/12/2010 date Of Correction: 03/16/2010

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	28.4 % (3.31 % higher than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	3.9 % (29.05 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	75.2 % (58.54 % higher than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	6.5 % (6.08 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	6.7 % (5.13 % lower than average)	vs	11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	36.4 % (8.14 % lower than average)	vs	44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	2.20 % (13.43 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	5.6:1 %
Percent of long-stay residents who have depressive symptoms	1.1 % (27.28 % lower than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	2.20 % (41.48 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	7.1 % (17.92 % lower than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	73.9 % (10.74 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	91.5 % (7.56 % higher than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	75.2 (29.3 higher than average)	vs	45.90
Percent of long-stay residents experiencing one or more falls with major injury	3.3 % (12.22 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	30.6 % (5.21 % higher than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	4.6 % (19.1 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	2.3 % (11.8 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	8 % (1.22 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	9.1 % (0.6 % higher than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	41.3 % (2.08 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	2.7 % (7.95 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	7.7 % (1.88 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	0.7 % (19.16 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	1.7 % (36.83 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	4.1 % (6.63 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	11.9 % (12.86 % lower than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	75.3 % (6.14 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	93.5 % (18.75 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	26.6 (79.9) % (9.26 % higher than average)	vs	17.34 %